Who gets to have the new smart pills?

Who gets to have the new smart pills?

Photo by Myriam Zilles on Unsplash

Originally published 23 September 2003

I am a lit­tle world made cun­ning­ly of ele­ments and an angel­ic sprite,” wrote the poet John Donne in about the year 1609. He meant, of course, that he was a crea­ture of mat­ter and spir­it, body and soul. Today, we would amend his lines to read: “I am a lit­tle world made cun­ning­ly of ele­ments.” Full stop.

With­out the ele­ments, there is no self. This is one of the most firm­ly held con­vic­tions of con­tem­po­rary science.

The self does indeed have two com­po­nents, but both are embed­ded in mat­ter. One part of the self is phys­i­cal fea­tures deter­mined by genes. Race. Gen­der. Eye col­or. Body shape. Cer­tain aspects of intelligence.

The sec­ond part of self evolves as our bod­ies inter­act with the envi­ron­ment. Mem­o­ries. Emo­tion­al devel­op­ment. Mus­cle tone.

The corol­lary of a pure­ly ele­men­tal self is that the self can be changed. What­ev­er is mate­r­i­al can be engineered.

Geneti­cists fore­see a time when genes can be changed at will. Inher­it­ed dis­eases and genet­ic abnor­mal­i­ties will be sup­pressed; the first steps in this direc­tion are already here. Design­er babies are fur­ther down the line — if we are rash enough to go there.

The sec­ond, adap­tive part of self can be engi­neered, too. The phar­ma­ceu­ti­cal indus­try stands ready today to chem­i­cal­ly mod­i­fy mem­o­ry, learn­ing, emo­tion, behav­ior, ath­let­ic abil­i­ty, sex­u­al prowess, and almost any oth­er aspect of the adap­tive self you can imagine.

There’s noth­ing new about the chem­i­cal mod­i­fi­ca­tion of self. Humans have been chang­ing them­selves with alco­hol, hal­lu­cino­gens, and aphro­disi­acs since the dawn of time. But we’re get­ting bet­ter at it now.

The Sep­tem­ber [2003] issue of Sci­en­tif­ic Amer­i­can is devot­ed to our devel­op­ing under­stand­ing of the human brain and the ways neu­ro­sci­en­tists stand ready to mod­i­fy men­tal func­tion. “Bet­ter Brains” is the cov­er headline.

We are not talk­ing here about ther­a­peu­tic drugs — med­ica­tions for depres­sion, atten­tion-deficit dis­or­der, stress, or erec­tile dys­func­tion, for exam­ple. We are talk­ing about a bulging cab­i­net of chem­i­cals for improv­ing nor­mal brain func­tion. Mem­o­ry enhance­ment. Increased aware­ness. Bet­ter cog­ni­tive performance.

We are talk­ing about “smart pills.”

Infant for­mu­la that revs up men­tal devel­op­ment. Dietary sup­ple­ments for seniors that post­pone men­tal impair­ment. And, while we’re at it, how about a drug-laced “soft” drink for the rest of us — call it Caf­feine­Plus — that gives us the abil­i­ty to learn faster and remem­ber more.

The prospect of enhanc­ing nor­mal brain func­tion is real,” states Sci­en­tif­ic Amer­i­can. “And with it will come a host of eth­i­cal issues con­cern­ing who has access to what.”

Will smart pills go only to those who can afford them, adding one more lev­el of inequal­i­ty between rich and poor, as some ethi­cists fear?

For gen­er­a­tions the rich have giv­en their kids a cog­ni­tive advan­tage with bet­ter diets, posh pri­vate schools, sum­mer camps, pri­vate tutoring.

If any­thing, brain enhancers that are as ubiq­ui­tous as Coca-Cola might be less unjust than what pass­es for equal­i­ty now.

But do we real­ly want to buy intel­li­gence off the shelf? What sort of strange new world are we about to enter? John Donne penned his lines at about the time Galileo turned his tele­scope to the heav­ens and dis­cov­ered that the uni­verse isn’t cen­tered on humankind. It was an epochal moment in human his­to­ry, the cusp between tra­di­tion-based knowl­edge and sci­en­tif­ic empiricism.

The new phi­los­o­phy calls all in doubt,” he wrote. He wor­ried that tra­di­tion­al “inequal­i­ties” that defined soci­ety — between prince and sub­ject, for exam­ple, or father and son — could not be sus­tained in the brave new world of empir­i­cal sci­ence and tech­nol­o­gy. He was right. We are far more com­mit­ted today to the essen­tial equal­i­ty of all men and women than were our pre-Galilean ancestors.

Bet­ter may or may not be best. But what­ev­er chem­i­cal enhance­ments of self the future brings, it should bring them with equi­ty to all.

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